BRADLEY A DYKSTRA DDS PLC (NPI# 1922093798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922093798 |
| Entity Type | Organization |
| Organization Name | BRADLEY A DYKSTRA DDS PLC |
| Other Organization Name | HUDSONVILLE DENTAL ASSOCIATES |
| Practice Address |
3250 Central Blvd Hudsonville MI 49426-1439 |
| Practice Telephone | 6166696600 |
| Practice Fax Number | 6166692964 |
| Mailing Telephone | 6166696600 |
| Mailing Fax Number | 6166692964 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRADLEY ALAN DYKSTRA (PRES) |
| Authorized Official Telephone | 6166696600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11799 | MI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Hudsonville Dental Associates | Doing Business As Name - Organization |
| Street Address |
3250 CENTRAL BLVD |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370251 | Benjamin Schell | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2018-06-19 |
| 1053726422 | Kathryn Lynn Swanson | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2014-06-24 |
| 1912117128 | Bradley Alan Dykstra | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2007-05-23 |
| 1568685279 | Dale Raymond Schuur | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2007-04-11 |
| 1205877925 | Brian Joseph Yared | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376921312 | Michael Scott Ruszkowski | Dentist | 3768 Brookfield Dr, Hudsonville, MI 49426-9028 | 2015-05-11 |
| 1679501613 | Dentistry & Design PC | Dentist | 6543 28th Ave, Hudsonville, MI 49426 | 2006-06-29 |
| 1700370251 | Benjamin Schell | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2018-06-19 |
| 1568685279 | Dale Raymond Schuur | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2007-04-11 |
| 1205877925 | Brian Joseph Yared | Dentist | 3250 Central Blvd, Hudsonville, MI 49426-1439 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.